Sr. Analyst, Fraud & Investigations

Nationwide • Grandview Heights, OH

6d • $62,500 - $115,500 • Hybrid

About The Position

This role will be responsible for investigating complex fraud cases across Annuity and Life Operations, identifying suspicious activity, and implementing prevention strategies tailored to the organization. This role will also lead fraud reporting and dashboard management, collaborate with internal and external partners, and stay ahead of emerging fraud trends to protect our clients and business. The hired associate must reside within 35 miles of the following location: Grandview: 1000 Yard Street Grandview OH, 43215. Work schedule: 2 days in office, 3 days remote. This role does not qualify for employer-sponsored work authorization. Nationwide does not participate in the Stem OPT Extension program.

Requirements

• Experience in fraud investigation, risk mitigation, financial services, or related fields.
• Strong analytical and problem-solving skills.
• Clear and professional communication skills.
• Comfortable working independently and managing multiple tasks.
• Proficient in Microsoft Office (especially Excel and PowerPoint).
• Commitment to continuous learning and technical proficiency.
• Two to three years’ experience in applicable Nationwide Financial Solutions center and/or insurance operations.
• Demonstrated knowledge of current trends in fraudulent claims; specific “red flags,” “red flag events” and other criteria that indicate possible fraud; effective and appropriate methods for suspected fraudulent insurance acts investigation.
• Maintains current understanding of insurance and financial services industry, focusing on the Nationwide enterprise.
• Regularly and consistently demonstrates Nationwide Values.

Nice To Haves

• Familiarity with fraud trends and prevention tools is a plus.
• Insurance investigation experience or professional investigation experienced preferred.
• Knowledge of industry-leading fraud detection and prevention tools.
• Bachelor’s degree in criminal justice, business administration, or similar field preferred.

Responsibilities

• Investigate moderate to complex fraud cases across Annuity and Life Operations, identifying patterns and root causes.
• Monitors communications and responds to general inquiries related to fraud and investigations.
• Delivers clear, concise, and complete case resolution responses that include investigative details and recommendations.
• Recommend, implement, and monitor fraud prevention policies and controls to ensure effectiveness and compliance.
• Communicate case developments and findings to management, Legal, DRM, and other internal stakeholders.
• Represent Operations on cross-functional fraud-related committees and working groups.
• Provide proactive support to business partners, including data analysis, trend identification, training, and consultation to raise fraud awareness and prevention capabilities.
• Support projects focused on continuous improvement, onboarding new fraud prevention tools, and evaluating/implementing enhanced fraud controls.
• Manage the ALO Fraud Prevention SharePoint site and dashboard, ensuring content is current and actionable.
• Delivers an outstanding customer service experience to all internal, external, current, and prospective customers.
• Stay current on industry fraud trends (e.g., deepfakes, account takeover, cybersecurity threats) through ongoing education, seminars, conferences, and company-sponsored training.
• Collaborate with IT, Risk, and Compliance teams to assess fraud risks related to new products, services, or operational changes.
• Prepare reports and metrics for senior leadership and regulatory bodies as needed.
• Conducts low to moderately complex fraud investigations and providing fact-based analysis and educated recommendations to our business partners so they can mitigate any fraud risk or concern.
• Partnering and consulting with business units and leaders to implement state of the art fraud detection and prevention capabilities to help protect members and the enterprise from fraudulent activity.
• Monitoring tools and reports designed to proactively detect suspicious activity and fraud techniques.
• Investigates low to moderately complex cases suspected of insurance fraud and other irregularities primarily involving Retirement Plans, Life Insurance, Annuities, and Nationwide Business Solutions Group (NBSG).
• Conducts complex investigations with minimal direction.
• Ensures that assigned cases are investigated and reported back to the requesting party in a timely manner.
• Maintains assigned claims and referral files in a confidential manner; documents all relevant facts about files in the appropriate electronic handling system(s).
• Keeps management advised of developments that impact fraud case results for assigned investigations.
• Proactively provides support to business partners which may include analyzing and trending information, consultation/training, and investigative changes/impacts leading to increased awareness.
• Responsible for monitoring and maintaining various tools, systems, and processes designed to proactively identify suspicious activity.
• Monitors Anti Money Laundering (AML) and Fraud reports on a regular cadence to identify fraudulent “red flags” and AML activity.
• Maintains and pursues technical proficiency, including participating in continuing fraud education through fraud seminars and other company-sponsored courses.
• May perform other responsibilities as assigned.

Benefits

• medical/dental/vision
• life insurance
• short and long term disability coverage
• paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date
• nine paid holidays
• 8 hours of Lifetime paid time off
• 8 hours of Unity Day paid time off
• 401(k) with company match
• company-paid pension plan

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree